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Managed Care Case Manager - Provo UT

Provo, UT 84601

Posted: 03/09/2025 Employment: Direct Hire Job Number: 3842 Pay Rate: 80,000

Job Description

Vitus Search Group has recently partnered with a massive Managed Care provider that services the 48 states 

We are seeking Case Managers in multiple areas around the country 

A great job for a RN - Registered Nurse 
  Full job description
JOB RESPONSIBILITIES:
  • Provide on-site (hospital, skilled nursing facility) and/or telephonic inpatient case management and concurrent review for identified hospitalized members.
  • Monitor medical necessity, appropriateness and efficiency of care using established inpatient guidelines, contacting Supervisor, Physician, Specialist, Hospitalist, and Medical Director as needed.
  • Coordinating and assisting with discharging patients from hospitals and SNFs.
  • Coordinating transfer of patient to in network facilities when appropriate.
  • Participate in discussion of delays / barriers / progression of care at care coordination rounds or in 1:1 meetings with physicians, specialists and/or hospital staff.
  • Be knowledgeable of patient’s available benefits / coverage / payor information.
  • Be knowledgeable of community programs and resources available to patients within their benefit plan.
The position pays $90K - Could go a bit higher depending on depth of backgrounds 

Immediate Starts 

Come join a great network 

Apply today!

Meet Your Recruiter

Chuck Stamford

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About Provo, UT

Discover your next career opportunity in the vibrant area surrounding Provo, Utah. Nestled between the stunning Wasatch Mountains and Utah Lake, this region offers an ideal blend of outdoor beauty and urban convenience. With a thriving job market and a welcoming community, Provo is a fantastic place to build your career. Explore job listings in this charming city known for its lively arts scene, including the beloved Covey Center for the Arts, numerous art galleries, and the historic Provo Pioneer Museum. Indulge in delicious local cuisine, catch a game of the BYU Cougars at LaVell Edwards Stadium, or take in the breathtaking views at the nearby Bridal Veil Falls. Don't miss out on the countless growth opportunities and unique experiences waiting for you in Provo!